DR. RANDY SCOTT KIMMELMAN (D.O.) – Surgery Physician, NPI 1730192964

DR. RANDY SCOTT KIMMELMAN (D.O.) is a healthcare provider. based in Cocoa beach, Florida. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. OS7449 (FL). The NPI Number for DR. RANDY SCOTT KIMMELMAN (D.O.) is 1730192964

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY SCOTT KIMMELMAN (D.O.)
NPI
1730192964
Phone
(321) 868-5871
Address
701 W Cocoa Beach Cswy
Enumeration Date
15 August 2006
Last Update Date
17 November 2020

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
9547718000
Graduation Year
1992 (34 years ago)
PAC ID
5991728552
Group Practice PAC ID
5799881660
Professional Enrollment ID
I20060111001136
Address ID
FL333084603FT4725XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for DR. RANDY SCOTT KIMMELMAN (D.O.)

  • 701 W Cocoa Beach Cswy

    Cocoa Beach, FL 329315595

    Phone: (321) 868-5871

    Type: Location

  • West Hillsboro Boulevard, Carver Heights, Deerfield Beach, Broward County, Florida, 33073, United States

    SUITE B

    DEERFIELD BEACH, FL 334429473

    Phone: (954) 574-0252

    Fax: (954) 429-1759

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $461.

Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Ethicon US, LLC ($133).

Total Amount

$461

General + Research + Ownership

Payments

11

Total payment records

General Amount

$461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060111001136IGeneral SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes203124$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9595$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32931)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799881660View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryFL
General SurgeryFL
-FL
General SurgeryFL
General SurgeryFL
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementNY
Colorectal Surgery (Proctology)FL
General Surgery, Colorectal Surgery (Proctology)FL
General SurgeryFL
Internal Medicine, HospitalistFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. RANDY SCOTT KIMMELMAN (D.O.)?
NPI 1730192964 is assigned to DR. RANDY SCOTT KIMMELMAN (D.O.) under the national enumeration system.
Does this profile mean DR. RANDY SCOTT KIMMELMAN (D.O.) is currently active?
Yes — DR. RANDY SCOTT KIMMELMAN (D.O.) appears active in the national provider directory.
What kind of provider is DR. RANDY SCOTT KIMMELMAN (D.O.)?
The page reflects Surgery Physician for DR. RANDY SCOTT KIMMELMAN (D.O.). Clinical services aligned with this taxonomy classification.
Where is DR. RANDY SCOTT KIMMELMAN (D.O.)'s primary listing?
We display Cocoa Beach, Florida because that is what the record indicates for DR. RANDY SCOTT KIMMELMAN (D.O.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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